The aides are coming daily as mom is remaining in bed and so it appears incontinent when not that long ago although she had a few accidents, she was able to get to the bathroom and if not messed herself and clothing up. Incontinent x 2. So clearly the aides assistance is a blessing. However mom has enough spunk to be sensitive and object to being cleaned up "down there". Her phrases are typically "THAT'S ENOUGH" or "GET OUT OF THERE". Completely understandable. But today as I stood by holding the bag for soiled disposables, Mom was basically lying naked on the bed the aides having removed her gown. Thinking she was chilly or could at least have a bit of coverage I placed the gown over her private area, which brought a comment from the aide that they had gotten it away from her and I basically gave it back (ie. complicating their job). My question is what is SOP? I believe I've read, and experienced myself when in the hospital in the past year, that care should be taken to protect the patient's privacy and to keep them comfortable...i.e. the areas not being cleaned at the time should be kept covered. It's hurtful to think they might make their job easier by taking advantage of someone with dementia, but considering the agency I can't imagine they were not trained correctly. Would you say something to them or a supervisory person?